| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $713.53 | $713.53 | $4,338.00 | |
Medica
| Facility | $587.41 | $843.81 | $1,716.22 | |
Midlands
| Facility | $1,239.89 | $1,510.95 | $1,795.50 | |
Sanford Health Plan
| Professional | $701.57 | $1,072.21 | $1,298.98 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |